After we receive your online application, we’ll mail your card along with instructions on how to activate it so you can start using library services.

General Information

First Name *

Middle Name

Last Name *

E-mail Address *

Date of Birth *
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GenderMaleFemale

Primary Phone

Alternate Phone

How would you prefer to be notified of overdues, holds, bills, etc.?Which location would you prefer for picking up library materials placed on hold?

Local Address

Street Address *Apartment Number, etc.

City *

County *

ZIP Code *
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Alternate/Permanent Address

Are you a college student or living in Mid-Missouri on a temporary basis?

Street Address *Apartment Number, etc.

City *

State *

ZIP Code *
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Name of College/University

Agreement

I acknowledge, understand and agree that I am responsible for all computer usage associated with and items checked out to my library account, and that I may be charged the replacement cost for any items not returned or returned damaged. I also acknowledge and understand that if my account becomes overdue to the point that I am billed for unreturned items, my account may be referred to a third party for collection, and I further understand that I may be charged an additional collection fee if this occurs.
I further understand that if my account is so referred for collection, then confidential information concerning my account or library materials borrowed or used by me, which would otherwise be confidential to me and protected from disclosure without benefit of a court order, as provided for by section 182.817 of the Missouri statutes can be released to the third party or to the court in connection with the collection process, and I waive any right I have under such section of the Missouri statutes or otherwise to object to or complain of such disclosure.